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Indiana rates for HCPCS 48547

Duodenal exclusion with gastrojejunostomy for pancreatic injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,570.40 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,905.46 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,125.38 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $2,754.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,737.80 / $1,949.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,623.41 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,905.46 / $2,951.21